Lompoc, CA · Santa Barbara County
Utility Service Disconnection Form
Lompoc utility account holders use this form to request disconnection of utility service and provide details for their final bill or any applicable refund.
What this form is
The form requests disconnection of utility service in the account holder’s name and asks for the account number, requested stop date, customer and service details, and an updated mailing address. Submit it with valid government-issued photo identification. The requested date must be a future business day, and the form says to allow one full business day for processing.
Who needs it
A Lompoc utility account holder who wants service disconnected in their name should complete and submit this form with valid government-issued photo identification.
How to submit it
Submit the completed form and valid government-issued photo identification by email to [email protected], by fax to (805) 875-8760, or at 100 Civic Center Plaza, Lompoc, CA 93436. The form says payment and documentation must be received before 4:00 PM.
About notarization
This document is signed without a notary; the account holder signs and dates the form, and it requests no notarized or sworn attachment.
How to submit this form
- 1
Download the Form
Download the Utility Service Disconnection Form for your Lompoc utility account.
- 2
Complete the Form
Provide your account number, requested stop date, customer details, service address, updated mailing address, signature, and date.
- 3
Gather Identification
Include valid government-issued photo identification for verification.
- 4
Submit to the City
Email, fax, or deliver the completed form and identification using the contact information printed on the form.
Frequently asked questions
- Do I need a notary for the Utility Service Disconnection Form?
- No. The form is signed and dated by the account holder without a notary, and it does not request a notarized or sworn attachment.
- How do I submit the Utility Service Disconnection Form?
- Submit the form with valid government-issued photo identification by email, fax, or at the address listed on the form. Payment and documentation must be received before 4:00 PM.
- What identification do I need to include?
- The form instructs account holders to submit valid government-issued photo identification for verification along with the completed request.
- When can I request utility disconnection?
- The requested stop date must be a future business day, excluding weekends and city-recognized holidays. The form says to allow one full business day for processing.